| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
38,598 |
3,429 |
$4.25M |
| 99070 |
|
21,398 |
1,353 |
$68K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,639 |
1,170 |
$4K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,576 |
1,373 |
$3K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
18,142 |
1,641 |
$1K |
| 83540 |
|
1,645 |
1,584 |
$809.90 |
| A4657 |
Syringe, with or without needle, each |
6,678 |
385 |
$663.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
4,573 |
531 |
$438.76 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
13,166 |
966 |
$61.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
87 |
$0.00 |
| 86704 |
|
119 |
119 |
$0.00 |
| 84075 |
|
1,650 |
1,588 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
55 |
55 |
$0.00 |
| 82728 |
|
1,648 |
1,584 |
$0.00 |
| 87340 |
|
1,662 |
1,583 |
$0.00 |
| 85018 |
|
2,027 |
1,481 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,626 |
1,565 |
$0.00 |
| 84132 |
|
17 |
13 |
$0.00 |
| 86706 |
|
119 |
119 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
514 |
512 |
$0.00 |
| 82040 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 90688 |
|
28 |
28 |
$0.00 |
| 84155 |
|
1,651 |
1,588 |
$0.00 |
| 83970 |
|
2,022 |
1,584 |
$0.00 |
| 85045 |
|
1,637 |
1,576 |
$0.00 |
| 84466 |
|
1,646 |
1,583 |
$0.00 |
| 84100 |
|
965 |
530 |
$0.00 |
| 84520 |
|
2,213 |
1,583 |
$0.00 |
| 82108 |
|
246 |
246 |
$0.00 |